A psychological intervention to promote acceptance and adherence to non-invasive ventilation in people with chronic obstructive pulmonary disease: study protocol of a randomised controlled trial

Eleonora Volpato*, Paolo Banfi, Francesco Pagnini

*Autore corrispondente per questo lavoro

Risultato della ricerca: Contributo in rivistaArticolo

7 Citazioni (Scopus)

Abstract

Background\r\nPeople with chronic obstructive pulmonary disease (COPD) sometimes experience anxiety, depression and comorbid cognitive deficits. Rather than being merely a consequence of symptom-related physical impairments these additional problems may be part of the clinical course of the condition. The relationship between the physical and psychological aspects of the condition is illustrated by the patterns of use of non-invasive ventilation (NIV); NIV is often rejected or used inappropriately, resulting in clinical deterioration and an increase in health care costs.\r\n\r\nThe study aims to analyse the effects of psychological support on the acceptance of, and adherence to, NIV. The primary outcome will be a latent variable related to indices of use of NIV equipment and adherence to treatment regime; while survival rates and psychological variables will constitute the secondary outcomes.\r\n\r\nMethods\r\nA two-arm randomised controlled trial will be conducted. We aim to recruit 150 COPD patients for whom NIV is indicated. The experimental group will receive a brief course of psychological support that will include counselling, relaxation and mindfulness-based exercises. In some cases, it will also include neuropsychological rehabilitation exercises. Support will be delivered via four to eight meetings at the HD Respiratory Rehabilitation Unit, at home or via telemedicine. Controls will receive standard care and watch educational videos related to the management of their disease.\r\n\r\nDiscussion\r\nThis investigation will gain insight about the role of a psychological intervention as part of a treatment plan during the process of adaptation to NIV in COPD patients.
Lingua originaleInglese
pagine (da-a)1-9
Numero di pagine9
RivistaTrials
Volume18
Numero di pubblicazione1
DOI
Stato di pubblicazionePubblicato - 2017

All Science Journal Classification (ASJC) codes

  • Medicina (varie)
  • Farmacologia (medica)

Keywords

  • Acceptance
  • Adherence
  • Chronic obstructive pulmonary disease (COPD)
  • Clinical psychology
  • Health economics
  • Health psychology
  • Non-invasive ventilation (NIV)

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